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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Kidney Disease, UTI, CKD. X-ray Of Skull Done. Urea, Creatinine Levels High. Related Symptoms?

my mother has been suffering from low HB level for past 2 yrs. A week back she got some tests done which indicate kidney disease. She also got and X ray of skull done which says sella is widened anterioposteriorly with thinning of posterior clinoid processes . We are awaiting few more test results, after which Doctor will prescribe medicine. MEanwhile her urea , creatinine level are v high. 24 hr urine test has shown v high protein level. She is suffering from UTI as well. What do u think can be diagnisis? What does all this indicate? I understand stages of CKD , what stage wud this be? Is Skull test related to CKD? How can we establish what is causing what?
Thu, 26 Jul 2012
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Internal Medicine Specialist 's  Response
Dear ffriend, welcome to HCM.
How old is your mother?
diabetic? recurrent UTIs?
yes , the picture looks like that of CKD, probably a UTI related AKI (acute kidney injury).
this could be stage L or E of RIFLE criteria.
Pl. let me know the results of all the tests to comment meaningfully.
enlarge sella is not typical in CKD. could be unrelated or calcium metabolism related .
pl. follow your nephrologist's advice and keep me posted on the progress.
detailed evaluation including, USG, urine culture, probably kidney biopsy in due course will be done.

hope I have answered you satisfactorily.
good luck!

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Suffering From Kidney Disease, UTI, CKD. X-ray Of Skull Done. Urea, Creatinine Levels High. Related Symptoms?

Dear ffriend, welcome to HCM. How old is your mother? diabetic? recurrent UTIs? yes , the picture looks like that of CKD, probably a UTI related AKI (acute kidney injury). this could be stage L or E of RIFLE criteria. Pl. let me know the results of all the tests to comment meaningfully. enlarge sella is not typical in CKD. could be unrelated or calcium metabolism related . pl. follow your nephrologist s advice and keep me posted on the progress. detailed evaluation including, USG, urine culture, probably kidney biopsy in due course will be done. hope I have answered you satisfactorily. good luck!